Satellite Accumulation Data

HAZARDOUS WASTE

Federal Law Prohibits Improper Disposal

If found, contact the nearest police, public safety authority, or the U.S. Environmental Protection Agency

NYSCC At Alfred University Environmental Health & Safety Office - 2 Pine Street, Alfred, NY 14802 - 607-871-2190

EPA #

Satellite Accumulation Data

Building Room Init Start Date Fill Date

Chemical Name:

Waste Characteristics:

This section to be filled out at Central Accumulation area

Central Accumulation Data

Receipt Date
Initialed by